CAJ | 학술논문

2002年1月至2012年3月共收治38例老年布鲁杆菌病性脊椎炎患者，入院前均误诊为脊柱结核。入院后，根据流行病史、临床表现、实验室检查、影像学检查与病理学检查结果，得到确诊。治疗后12个月随访，17例经规范化药物治疗治愈；21例行手术治疗，治愈19例，改善2例。老年性布鲁杆菌病性脊椎炎具有血清学及病理学特征性表现，诊断标准的制定有助于提高诊断率，减少误诊率，规范化药物治疗具有较好的治愈率，适时手术干预可提高临床疗效。
2002년1월지2012년3월공수치38례노년포로간균병성척추염환자，입원전균오진위척주결핵。입원후，근거류행병사、림상표현、실험실검사、영상학검사여병이학검사결과，득도학진。치료후12개월수방，17례경규범화약물치료치유；21례행수술치료，치유19례，개선2례。노년성포로간균병성척추염구유혈청학급병이학특정성표현，진단표준적제정유조우제고진단솔，감소오진솔，규범화약물치료구유교호적치유솔，괄시수술간예가제고림상료효。
A total of 38 cases of senile brucella spondylitis disease at our hospital during January 2002 and March 2012 were analyzed .After admission , all of them were definitely diagnosed on the basis of epidemiological history , clinical manifestations , laboratory tests , imaging and pathological examinations . Over a follow-up period of 12 months, 17 cases were cured after standardized drug treatment .Among 21 surgical cases, there were curing (n=17) and improving (n=2).Senile brucellosis spondylitis has distinct serological and pathological characteristics .And formulating the diagnostic criteria may improve its diagnostic rate and reduce its misdiagnostic rate .And standardized drug therapy achieves a better curing rate and a proper timing of surgical intervention improves its clinical outcomes .